Interagency Comprehensive Plan for Care Coordination Support
Forms & Templates
On this page, you will find various forms that Military Health System uses to support its programs. Please scroll down the page or use the search box to find specific forms and templates.
Please note that files more than five years old may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.
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Recent Forms & Templates
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Popular Forms & Templates
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We found 483 items
Fact Sheet
June 15, 2023
Managing Your Asthma: A Patient's Guide
.PDF |
668.95 KB
This patient guide will help you work with your Health Care Team to develop an action plan for treating your asthma. With the right action plan–that combines both self-management and medical care–you can live a normal, active life.
Fact Sheet
June 15, 2023
Asthma Self Management Book
.PDF |
2.09 MB
This 44-page patient information booklet provides information on: what is asthma, how it affects your lungs, symptoms, triggers, treatments, monitoring, and living well with asthma.
Fact Sheet
June 14, 2023
Leader Policy Guidance for Mild TBI/Concussion in the Deployed Setting Fact Sheet
This document describes the line leader responsibilities for the Department of Defense mandated policy, DOD Instruction 6490.11, “DOD Policy Guidance for the Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting,” that applies to all service members involved in potentially concussive events in deployed settings.
Fact Sheet
June 7, 2023
Decide + Be Ready App Factsheet
.PDF |
743.54 KB
The Decide + Be Ready mobile application contains evidence-based information on the most common forms of contraception available. The app uses a unique interface that was previously studied and designed to aid patients in making the best contraception decision.
Fact Sheet
June 7, 2023
TriFold Chronic Obstructive Pulmonary Disease COPD
.PDF |
2.00 MB
Trifold brochure – Patient Information on what is COPD, causes, treatment options and goals, medications, what to do if it worsens.
Fact Sheet
May 25, 2023
A Guide for Patients and Providers on Chronic Multisymptom Illness
.PDF |
255.31 KB
This brochure provides information on Chronic Multisymptom Illness, what it is, symptoms, treatment options, planning, and goal setting.
Fact Sheet
May 25, 2023
Take Care of Your Kidneys
.PDF |
1.80 MB
Patient brochure with information on what kidneys do, why you have kidney disease, how will you know if you have a kidney problem, stages of Chronic Kidney Disease, who can help, and where to find more information.
Fact Sheet
May 25, 2023
Questions and Answers About Chronic Multisymptom Illness Fact Sheet
.PDF |
303.33 KB
Frequently asked questions and answers about Chronic Multisymptom Illness.
Fact Sheet
May 25, 2023
Chronic Kidney Disease Algorithms and Medication Management Card for providers
.PDF |
1.91 MB
Chronic Kidney Disease Algorithms and Medication Management Card for providers - containing topics with medications and algorithms.
Fact Sheet
May 25, 2023
Asthma Diary
.PDF |
748.40 KB
This one-page form allows patients to track their asthma symptoms, triggers, medications, response to meds, peak flow rates, and comments.
Fact Sheet
May 25, 2023
Management of Chronic Kidney Disease Recommendations Card for Providers
.PDF |
278.71 KB
Management of Chronic Kidney Disease Recommendations Card for Providers – Topics with list of the CKD Recommendations
Fact Sheet
May 23, 2023
Pregnancy and Childbirth: A Goal Oriented Guide to Prenatal Care Purple Book
.PDF |
8.73 MB
This patient focused book provides information regarding prenatal visits, nutrition, illness, labor & delivery, and the post-partum period.
Fact Sheet
May 22, 2023
Changes in Behavior, Personality or Mood Following Concussion/mTBI Fact Sheet
.PDF |
977.73 KB
This TBICoE fact sheet can be used by health care providers to educate patients with a concussion, or mild TBI, on how to manage changes in mood related to their injury. Patients and caregivers would also find this information useful.
Fact Sheet
May 5, 2023
Joint HIE eHealth Partners List
.PDF |
231.12 KB
List of current Joint HIE eHealth Exchange Partners
Fact Sheet
April 18, 2023
Total Nursing Force
Develop an empowered, innovative, and ready Total Nursing Force, advancing evidence based practice to optimize health and human performance.
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